IndividualActive
Maxwell Wallace, PSYD
NPI 1639676299 · Clinical Psychologist · Rochester, NY
Maxwell Wallace, PSYD is a Clinical Psychologist provider in Rochester, NY (NPI 1639676299).
Provider details
- NPI number
- 1639676299
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 022525 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Park Avenue
Carriage House
Rochester, NY 14607
Phone: (585) 449-0125
Street-level locationGet directions
Mailing address
600 Park Avenue
Rochester, NY 14607
Registry dates
- Enumerated
- 2018-04-10
- Last updated
- 2018-07-19
Frequently asked questions
- What is Maxwell Wallace's NPI number?
- Maxwell Wallace's National Provider Identifier (NPI) is 1639676299, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maxwell Wallace's specialty?
- Maxwell Wallace is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Maxwell Wallace located?
- Maxwell Wallace's practice location on file with NPPES is 600 Park Avenue, Rochester, NY 14607.
- What is Maxwell Wallace's phone number?
- The practice phone number listed in the NPPES registry for Maxwell Wallace is (585) 449-0125.
- Is Maxwell Wallace's NPI active?
- Yes — Maxwell Wallace's NPI (1639676299) is active in the NPPES registry as of the last update on 2018-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.